神藏 (Shéncáng) — Spirit Storehouse
Kidney channel · point 25
Traditionally used for
- Cough & breathing
- Digestion
- Mood & calm
- Heart & circulation
Cautions & contraindications
- No deep needling
Location
On the chest, in the second intercostal space, 2 cun lateral to the anterior midline.
How to locate: With the patient supine, find the sternal angle, where the second rib joins the sternum, and slide just below the rib into the second intercostal space; the point is 2 cun lateral to the midline, halfway to the midclavicular line.
Regional anatomy: Beneath the skin and subcutaneous tissue the needle passes through pectoralis major and the external and internal intercostal muscles, stopping short of the endothoracic fascia; the pleura and lung lie directly beneath.
Distances are in cun, a proportional unit — how to measure.
Needling hazard — see Needling safety
3D view
3D view not available for this point: its position on the 3D model couldn't be checked against its location text, so it is not shown. The 2D maps above show it.
- The lung is not drawn: the anatomical model used here does not include it as a surface. This is a limit of the model, not of the anatomy. The pneumothorax risk above still applies.
Needling
Cited needling
- ⚠ Pneumothorax
-
Transverse-oblique insertion — directed laterally along the intercostal spaceDepth 0.5–1 cunskindeeper
| Underweight | Normal | Overweight | |
|---|---|---|---|
| Men | 12.6 | 20.0 | 25.9 |
| Women | 15.3 | 22.9 | 26.9 |
CT-measured mean safe needling depths from Taiwanese adults, by sex and body size (Lin et al. 2013); population-specific and a guide only — adjust to the patient in front of you.
Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.
Sources (3)
- Lin JG, Chou PC, Chu HY. An exploration of the needling depth in acupuncture: the safe needling depth and the needling depth of clinical efficacy. Evid Based Complement Alternat Med. 2013;2013:740508 — Tables 7 (male) and 8 (female), chest acupoints Supports: safe depth (measured)
- World Health Organization. Guidelines on basic training and safety in acupuncture. Geneva: WHO; 1999. WHO/EDM/TRM/99.1 — Section II §5.2 (Lung and pleura), p. 25 Supports: pneumothorax (names this region)
- Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 361 Supports: techniques (names this point)
Site notes · not cited
- No deep needling
Functions
- Regulates Lung qi, descends rebellious qi and unbinds the chest
- Calms the spirit
Indications
Combinations Using This Point
Sources
- World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
- Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)
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